Une technique modifiée de cystostomie continente avec iléocystoplastie d’agrandissement : à propos d’une série de 32 patients

Vian, Emmanuel; Soustelle, Laurent; Viale, S.; Costa, P.

doi:10.1016/j.purol.2008.07.005

Cited by 9 publications

(2 citation statements)

References 22 publications

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“…We developed a standardized technique for the internal construction of the vesicostomies for which we adapted the steps of the open procedure to the minimally invasive approach to make it feasible and reproducible. Our mean operating time was reasonable when compared with the open procedure: a recent study reported a mean operating time of 290 min for the construction of an open CUD with bladder augmentation , which was similar to our results obtained using a minimally invasive approach. The estimated blood loss, which in our series was negligible, was also consistent with other results reported in the paediatric setting .…”

Section: Discussionsupporting

confidence: 86%

“…The conduit was anastomosed to the bladder muscular layer using three interrupted 3/0 poliglecaprone 25 sutures. The anti‐reflux tunnel was built according to the Lich‐Gregoir technique , using three 3/0 poliglecaprone 25 inverted sutures, which allow the invagination of the tube inside the bladder while preserving the bladder mucosa. The bladder was fixed to the anterior abdominal wall with two transparietal 2/0 polyglactin 910 sutures hidden under the skin, to avoid any kinking of the conduit during catheterization.…”

Section: Methodsmentioning

confidence: 99%

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Laparoscopic and robot‐assisted continent urinary diversions (Mitrofanoff and Yang‐Monti conduits) in a consecutive series of 15 adult patients: the Saint Augustin technique

Rey¹,

Helou

Oderda

et al. 2013

BJU International

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Objective• To present a series of 15 laparoscopic and robot-assisted Mitrofanoff and Yang-Monti vesicostomies in an adult population, and to assess the feasibility and safety of these minimally invasive approaches. Patients and Methods• Between 2009 and 2012, 15 patients underwent laparoscopic (n = 11) or robot-assisted (n = 4) construction of vesicostomy by a single surgeon (D.R.): Mitrofanoff appendicovesicostomy (n = 11) or double Yang-Monti ileal conduit (n = 4). Fourteen patients underwent concomitant augmentation enterocystoplasty.• Indications for surgery included neurogenic bladder (n = 11) and urethral dysfunction (n = 4).• The patients were evaluated postoperatively using cystography. Quality of life (QoL) was evaluated using an internally developed questionnaire. Results• All surgeries were successfully completed with no conversions. Operating time was always <5 h. The mean estimated blood loss was 150 mL and the mean follow-up was 22 months.• Early postoperative complications included deep retrovesical abscess (n = 2) and upper urinary tract infections (n = 4), and one patient had peri-operative cardiac failure.• Late postoperative complications included stomal stenosis (n = 2), persistent low-pressure bladder incontinence (n = 1) and recurrent infections (n = 1). Surgical excision of the conduit was necessary in one patient.• Postoperatively, patients showed complete bladder emptying and no leak on follow-up cystography. According to our QoL questionnaire, 13/15 patients did not regret the surgery. Conclusions• While a longer follow-up is needed to assess the durability of our results, this series shows that the laparoscopic and robot-assisted approaches for the construction of continent urinary diversions are feasible and safe in an adult population.

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Section: Discussionsupporting

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Laparoscopic and robot‐assisted continent urinary diversions (Mitrofanoff and Yang‐Monti conduits) in a consecutive series of 15 adult patients: the Saint Augustin technique

Rey¹,

Helou

Oderda

et al. 2013

BJU International

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Continent catheterizable tubes/stomas in adult neuro-urological patients: A systematic review

Phé

Boissier

Blok

et al. 2017

Neurourology and Urodynamics

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Impact on quality of life and sexual satisfaction of continent cystostomy with enterocystoplasty in an adult neurologic population

Ba¹,

Soustelle²,

Wagner³

et al. 2018

Neurourology and Urodynamics

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In the long-term, continent cystostomy with bladder enlargement provides great satisfaction to almost most patients. It has a strong positive impact on general and specific urinary QOL, patients' autonomy and urinary continence. In young patients a positive impact on sexuality was also noticed. These encouraging data, that need to be confirmed, constitute interesting information to provide to neurologic patients to help them deciding whether they are willing to undergo continent cystostomy surgery.

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Une technique modifiée de cystostomie continente avec iléocystoplastie d’agrandissement : à propos d’une série de 32 patients

Cited by 9 publications

References 22 publications

Laparoscopic and robot‐assisted continent urinary diversions (Mitrofanoff and Yang‐Monti conduits) in a consecutive series of 15 adult patients: the Saint Augustin technique

Laparoscopic and robot‐assisted continent urinary diversions (Mitrofanoff and Yang‐Monti conduits) in a consecutive series of 15 adult patients: the Saint Augustin technique

Continent catheterizable tubes/stomas in adult neuro-urological patients: A systematic review

Impact on quality of life and sexual satisfaction of continent cystostomy with enterocystoplasty in an adult neurologic population

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